Mrs Joanne Lee Miracle, ANP-C; GNP-C | |
4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | |
(971) 206-5179 | |
(503) 905-0495 |
Full Name | Mrs Joanne Lee Miracle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 4560 Se International Way Ste 100, Milwaukie, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922043462 | NPI | - | NPPES |
113099 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 200050105NP (Oregon) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 200050105NP (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marquis Clinical Services Llc | 2860827821 | 17 |
Entity Name | The Wallace Medical Concern |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841592110 PECOS PAC ID: 2365680865 Enrollment ID: O20150224001107 |
Entity Name | Marquis Clinical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710427810 PECOS PAC ID: 2860827821 Enrollment ID: O20200121002375 |
Mailing Address | Practice Location Address |
---|---|
Mrs Joanne Lee Miracle, ANP-C; GNP-C 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: (971) 206-5179 | Mrs Joanne Lee Miracle, ANP-C; GNP-C 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: (971) 206-5179 |
Mrs. Marla E. Stasik, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-712-6863 | |
Sarah Fishbein, RN, BSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 Fax: 503-416-1959 | |
Samantha Jay Abbott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 | |
Joel Aaron Michels, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10505 Se 17th Ave, Suite 210, Milwaukie, OR 97222 Phone: 503-467-1271 Fax: 855-232-6902 | |
Dr. Andreana Marie-concetta Gentile, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-305-6282 Fax: 503-908-0208 | |
Constance Cora Leben, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Se Lake Rd Ste 325, Milwaukie, OR 97222 Phone: 503-786-1711 Fax: 503-786-9919 | |
Mr. William Timothy Dudley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-303-4000 |